South Shore Dental Associates PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SOUTH SHORE DENTAL ASSOCIATES PC

Doing business as

White Caps Dentistry

Practice address

63 W 2ND St
Oswego, NY 13126-1515

Phone

(315) 343-5945

NPI assigned

Dec 26, 2024

Last updated

Dec 26, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Walter Bozek, DDSNPI 1467664250

Title

President

Phone

(315) 254-5842

Specialties & licenses 1

Addresses

Other names 1

• White Caps Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Walter Joseph Bozek, D.D.S.

  • Dentist
  • Oswego, NY
  • NPI 1467664250
  NPD Authorized official
• Michael J Arena, DMD

  • Dentist
  • Oswego, NY
  • NPI 1417168139
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1588472336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 W 2ND ST",
            "address_2": "PO BOX 237",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "13126",
            "telephone_number": "315-343-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 W 2ND ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261515",
            "telephone_number": "315-343-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "BOZEK",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-254-5842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Caps Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracy Lynn Solazzo, RN
• Kathleen Ann Solinsky, C.O.T.A.
• Kathy Jeanne Sollecito, M.S., CCC-SLP
• Rachel Marie Somers, COTA
• Soo R Kim MD PC
• Special Programs, Inc. (Little Lukes)
• Abigail Eileen Speer
• Stephanie Leah Spicer, LPN
• Shannon Spink, DPT
• Jill St John, RN LMT

• Dental Clinic/Center in Oswego, NY
• Providers in Oswego, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.